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| 1 | Predictors of dehydration and acute renal failure in patients with diverting loop ileostomy creation after colorectal surgery显示文摘BACKGROUND Despite the potential benefits of fecal diversion after low pelvic anastomosis in colorectal surgery, diverting loop ileostomy construction is related to significant rates of complications. AIM To determine potential predictors of high output related complications in patients with diverting loop ileostomy creation after colorectal surgery. METHODS Patients who underwent open and laparoscopic colorectal surgery requiring a diverting loop ileostomy from January 2010 to March 2018 were retrospectively analyzed. We included patients older than 18 years, who underwent colorectal surgery with primary low pelvic anastomosis, and with the creation of a diverting loop ileostomy, at elective or emergency settings for the treatment of benign or malignant conditions. Univariate and multivariate logistic regression analysis was used to determine the effect of the potential predictors on the rate of high output related complications. The high output related complications were dehydration and acute renal failure that required visits to the emergency department and hospitalizations. RESULTS Of the 102 patients included in the study, 23.5%(n = 24) suffered high output related complications. In this group of patients at least one visit to the emergency department (mean 1.6), and at least one readmission to the hospital was needed. The factors associated with high-output ileostomy, in the univariate analysis, were: urgent surgical intervention (OR = 2.6;P = 0.047), the development of postoperative complications (OR = 3;P = 0.024), have ulcerative colitis (OR = 4.8;P = 0.017), use of steroids (OR = 4.3;P = 0.010), mean output at discharge greater than 1000 mL/24 h (OR = 3.2;P = 0.016), and use of loperamide at discharge (OR = 2.8;P = 0.032). Multivariate logistic regression analysis identified two independent risk factors for high output related complications: ulcerative colitis [OR = 7.6 (95%CI: 1.81-31.95);P = 0.006], and ileostomy output at discharge ≥ 1000 mL/24 h [OR = 3.3 (1.18-9.37);P = 0.023]. CONCLUSION In our study, patients with ulcerative colitis and those with an ileostomy output above 1000 mL/24 h at discharge, were at increased risk of high output related complications. | Omar Vergara-Fernández Mario Trejo-Avila Oscar Santes Danilo Solórzano-Vicu?a Noel Salgado-Nesme | 2019 | World Journal of Clinical Cases2019，7，14： | 2 |
| 2 | Clinical and pathologic prognostic indicators in colorectal cancer:A population-based study显示文摘 | Ponz de Leon M Sant M Micheli A | 1992 | Cancer1992，69，3： | 1 |
| 3 | A cytological and ultrastructural study on the maturation and germination of oospores of Plasmopara viticola from overwintering Vine leaves显示文摘 | VERCESI A TOMAGHI R SANT S | 1999 | Mycological Research1999，103，： | 1 |
| 4 | Cellular automata models for the simulation of real-world urban processes:A review and analysis显示文摘 | SANTI GARCA A M MIRANDA D | 2010 | Landscape and Urban Planning2010，3，96： | 1 |
| 5 | Immunodominanee in CD4 ~ T cell responses : implications for immune responses to influenza virus and for vaccine design 显示文摘 | Sant A J Chaves F A Krafcik F R | 2007 | Expert Rev Vaccine2007，6，3： | 1 |
| 6 | Visual cryptography for general access structures 显示文摘 | ATENIESE G BLUNDO C DE SANTS A | 1996 | Information and Computation1996，129，2： | 1 |
| 7 | Performance of the Straumann Bone Level Implant system for anterior single-tooth replacements in augmented and nonaugrnented sites: a prospective cohort study with 60 consecutive patients 显示文摘 | Santing HJ Raghoebar GM Vissink A | 2013 | Clin Oral Implants Res2013，24，8： | 1 |
| 8 | Extended capabilities for visual cryptography 显示文摘 | ATENIESE G BLUNDO C DE SANTS A | 2001 | Theoretical Computer Science2001，250，12： | 1 |
| 9 | Immunohistochemical expression of estrogen and progesterone receptors in endometrial polyps and adjacent endometrium in postmenopausal women显示文摘 | Sant' Ana-de-Almeida E C Nogueira A A Candido-dos-Reis F J | 2004 | Maturitas2004，49，3： | 1 |
| 10 | he cost-effectiveness of substituting physicians with diabetes nurse specialists: A randomized controlled trial with 2-year follow -up 显示文摘 | Arts E E A Landewe-Cleuren SANT Schaper NC | 2012 | Journal of advanced nursing2012，68，6： | 1 |
| 11 | Impactof childhood stress on psychopathology 显示文摘 | Sant’anna M Kauer Sant'anna M Jackowski A | 2012 | Rev BrasPsiquiatr2012，34，4： | 1 |
| 12 | Body composi-tion and net requirements of protein and energy for weight gain of nellore and crossbreed steers finished under grazing显示文摘 | Sant'Ana N F Fontes C A A Silva R S T | | 0，，04： | 1 |
| 13 | Place aversion induced by blockade of mu or activation of kappa opioid receptors in the dorsal periaqueductal gray matter显示文摘 | Sante AB Nobre M J Brand(a)o ML | | 0，，7： | 1 |
| 14 | Treatment and detoxication of a sanitary landfill leachate 显示文摘 | Silva A C Dezotti M Sant'Anna G L Jr | 2004 | Chemosphere2004，55，2： | 1 |
| 15 | Effect of sodium cyclamate on the rat fetal exocrine pancreas : a karyometric and stereological study 显示文摘 | Martins AT Sant F Santos A | 2010 | Int J Morphol2010，28，3： | 1 |
| 16 | Amyloid beta- peptide inhibition of the PKA/CREB pathway and long- term potentiation: reversibility by drugs that enhance cAMP signaling显示文摘 | Vitolo O V Sant'Angelo A Costanzo V | 2002 | Proc Natl Acad Sci USA2002，99，13： | 1 |
| 17 | Treatment and detoxification of a sanitary landfill leachate 显示文摘 | Silva A C Dezotti M Sant'Anna G L | 2004 | Chemosphere2004，55，2： | 1 |
| 18 | Liposome encapsulation protects bacteriocin-like substance P34 against inhibition by Maillard reaction products显示文摘 | SANT'ANNA V MALHEIROS P S BRANDELLI A | 2011 | Food Research International2011，44，1： | 1 |
| 19 | Treatment and detoxication of a sanitary landfill leachate显示文摘 | Silva A C Dezotti M G L Sant'Anna Jr | 2004 | Chemosphere2004，55，2： | 1 |
| 20 | Immunohistochemical characterization of neuroendocrine cells in prostate cancer显示文摘 | Huang J Yao J L di Sant'Agnese P A | 2006 | Prostate2006，66，13： | 1 |
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